{"id":2873,"date":"2022-02-24T13:10:29","date_gmt":"2022-02-24T11:10:29","guid":{"rendered":"https:\/\/www.hsioirs.org\/aitisi-engrafis-melous-stin-eeefdch\/"},"modified":"2022-05-16T14:13:30","modified_gmt":"2022-05-16T12:13:30","slug":"hsioirs-membership-application","status":"publish","type":"page","link":"https:\/\/www.hsioirs.org\/en\/hsioirs-membership-application\/","title":{"rendered":"HSIOIRS Membership Application"},"content":{"rendered":"[vc_row type=&#8221;full_width_background&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;40px&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; bg_color=&#8221;#ffffff&#8221; bg_image=&#8221;411&#8243; bg_position=&#8221;left top&#8221; background_image_loading=&#8221;default&#8221; bg_repeat=&#8221;no-repeat&#8221; scene_position=&#8221;center&#8221; top_padding=&#8221;8%&#8221; bottom_padding=&#8221;8%&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overflow=&#8221;visible&#8221; color_overlay=&#8221;#9bcbeb&#8221; advanced_gradient_angle=&#8221;0&#8243; overlay_strength=&#8221;0.95&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221; parallax_bg=&#8221;true&#8221; parallax_bg_speed=&#8221;fast&#8221; video_mute=&#8221;true&#8221; gradient_type=&#8221;default&#8221; shape_type=&#8221;&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; column_element_spacing=&#8221;default&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; 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font_size_tablet=&#8221;30px&#8221; font_size_phone=&#8221;30px&#8221; font_line_height=&#8221;10w&#8221;][\/split_line_heading][vc_row_inner column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; text_align=&#8221;left&#8221; row_position=&#8221;default&#8221; row_position_tablet=&#8221;inherit&#8221; row_position_phone=&#8221;inherit&#8221; overflow=&#8221;visible&#8221; pointer_events=&#8221;all&#8221;][vc_column_inner column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; column_element_spacing=&#8221;default&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;5\/6&#8243; tablet_width_inherit=&#8221;default&#8221; animation_type=&#8221;default&#8221; enable_animation=&#8221;true&#8221; animation=&#8221;fade-in-from-bottom&#8221; bg_image_animation=&#8221;none&#8221; border_type=&#8221;simple&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221; delay=&#8221;300&#8243;][vc_custom_heading text=&#8221;HSIOIRS members have benefits such as reduced prices of registration in the scientific events of the Society, while they also have a significant discount in their registration as members of the European Society of Cataract and Refractive Surgeons (ESCRS).&#8221; font_container=&#8221;tag:p|text_align:left|color:%230050b5&#8243; use_theme_fonts=&#8221;yes&#8221;][\/vc_column_inner][vc_column_inner column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; 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overlay_strength=&#8221;0.3&#8243; width=&#8221;2\/3&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; animation_type=&#8221;default&#8221; bg_image_animation=&#8221;none&#8221; border_type=&#8221;simple&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221;][split_line_heading animation_type=&#8221;line-reveal-by-space&#8221; font_style=&#8221;h2&#8243; text_color=&#8221;#0050b5&#8243; line_reveal_by_space_text_effect=&#8221;letter-reveal-bottom&#8221; stagger_animation=&#8221;true&#8221; mobile_disable_animation=&#8221;true&#8221; content_alignment=&#8221;default&#8221; mobile_content_alignment=&#8221;inherit&#8221; link_target=&#8221;_self&#8221; text_content=&#8221;Application for ophthalmologists who have a license to practice in Greece&#8221; font_size_tablet=&#8221;27px&#8221; font_size_phone=&#8221;27px&#8221; font_line_height=&#8221;37px&#8221; font_size=&#8221;32px&#8221;][\/split_line_heading][divider line_type=&#8221;No Line&#8221; custom_height=&#8221;50px&#8221;]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2716-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"2716\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/2873#wpcf7-f2716-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2716\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.2\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2716-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:2716,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;yes-refractive-surgeries&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;refractive-surgeries&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Yes&quot;}]},{&quot;then_field&quot;:&quot;no-refractive-surgeries&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;refractive-surgeries&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;No&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_rollback-cf7-6.1.1&quot;:true}}\" \/>\n<\/fieldset>\n<p><label> Name*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Surname*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-last-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Office Address*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"clinic-adress\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Street, Zip code, City\" value=\"\" type=\"text\" name=\"clinic-adress\" \/><\/span> <\/label>\n<\/p>\n<p><label> Home Address*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"home-adress\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Street, Zip code, City\" value=\"\" type=\"text\" name=\"home-adress\" \/><\/span> <\/label>\n<\/p>\n<p><label> Date of birth*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"birth-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"birth-date\" \/><\/span> <\/label>\n<\/p>\n<p><label> Institution<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"institution\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"institution\" \/><\/span> <\/label>\n<\/p>\n<p><label> Title \/ Position in*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-title\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"your-title\" value=\"Private\" \/><span class=\"wpcf7-list-item-label\">Private<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"your-title\" value=\"Public Health System\" \/><span class=\"wpcf7-list-item-label\">Public Health System<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"your-title\" value=\"University\" \/><span class=\"wpcf7-list-item-label\">University<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"your-title\" value=\"Retired\" \/><span class=\"wpcf7-list-item-label\">Retired<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Office Telephone*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"phone\" \/><\/span> <\/label>\n<\/p>\n<p><label> Mobile*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mobile-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"mobile-phone\" \/><\/span> <\/label>\n<\/p>\n<p><label> Email*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p><label> Year of Completion of Residency*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"title-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"title-date\" \/><\/span> <\/label>\n<\/p>\n<p><label> Are you a surgeon?*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"surgeon-type\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"surgeon-type\" value=\"Anterior Segment\" \/><span class=\"wpcf7-list-item-label\">Anterior Segment<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"surgeon-type\" value=\"Posterior Segment\" \/><span class=\"wpcf7-list-item-label\">Posterior Segment<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"surgeon-type\" value=\"I\u2019m not a surgeon\" \/><span class=\"wpcf7-list-item-label\">I\u2019m not a surgeon<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Do you perform refractive surgeries?*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"refractive-surgeries\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"refractive-surgeries\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"refractive-surgeries\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<div data-id=\"yes-refractive-surgeries\" data-orig_data_id=\"yes-refractive-surgeries\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t<p><label> If Yes which ones?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"specific-refractive-surgeries\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"specific-refractive-surgeries[]\" value=\"PRK\" \/><span class=\"wpcf7-list-item-label\">PRK<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"specific-refractive-surgeries[]\" value=\"LASIK\" \/><span class=\"wpcf7-list-item-label\">LASIK<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"specific-refractive-surgeries[]\" value=\"RK\" \/><span class=\"wpcf7-list-item-label\">RK<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"specific-refractive-surgeries[]\" value=\"\u0391\u039a\" \/><span class=\"wpcf7-list-item-label\">\u0391\u039a<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"specific-refractive-surgeries[]\" value=\"ICL\" \/><span class=\"wpcf7-list-item-label\">ICL<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"specific-refractive-surgeries[]\" value=\"CLE\" \/><span class=\"wpcf7-list-item-label\">CLE<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"specific-refractive-surgeries[]\" value=\"Iris claw IOLs\" \/><span class=\"wpcf7-list-item-label\">Iris claw IOLs<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"specific-refractive-surgeries[]\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div data-id=\"no-refractive-surgeries\" data-orig_data_id=\"no-refractive-surgeries\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t<p><label> If No<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"no-refractive-surgeries\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"no-refractive-surgeries[]\" value=\"I will start in the future\" \/><span class=\"wpcf7-list-item-label\">I will start in the future<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"no-refractive-surgeries[]\" value=\"I\u2019m not interested in refractive surgery\" \/><span class=\"wpcf7-list-item-label\">I\u2019m not interested in refractive surgery<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<h4> Curriculum Vitae\n<\/h4>\n<p><label> Brief CV*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-bio\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-bio\"><\/textarea><\/span> <\/label>\n<\/p>\n<h4> Reference from two HSIOIRS members\n<\/h4>\n<div class=\"two-columns\">\n\t<div class=\"first-label\">\n\t\t<p><label> Name\/Surname 1*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"recommendation-1\"><input size=\"40\" maxlength=\"400\" 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name=\"recommendation-2\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"second-label\">\n\t\t<p><label> Telephone Number*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"recommendation-2-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"recommendation-2-phone\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<p><label> Terms and Conditions*<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-consent\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-consent\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">\u00abI agree that the information I provide through this website is collected and processed by HSIOIRS for communication and information purposes in 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